013422006-8-11-2021-52-CC-JWIN-C5STSR-20210811145933

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422006
Report Date: 08/11/2021
Date Signed: 08/11/2021 03:00:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	S4 LEARNINGS, INC. (DBA SAFARI KID)		FACILITY NUMBER:	013422006
ADMINISTRATOR:	PATEL, KAVITA		FACILITY TYPE:	850
ADDRESS:	39165 FARWELL DR		TELEPHONE:	(510) 304-0567
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	75	CENSUS: 0	DATE:	08/11/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sonal Jagad		TIME COMPLETED:	02:45 PM

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On 08/11/2021 Licensing Program Analyst (LPA) Jabari Wilson conducted a 1 year required UNANNOUNCED ANNUAL INSPECTION. LPA met with Owner Sonal Jagad and the facility was toured to conduct a Health and Safety Inspection. Owner informed LPA that the preschool is currently closed but the Summer Camp (ages 5-12) is in session. The summer camp operates Monday through Friday, 8:30 AM - 6:00 PM within the Safari Kids Heritage model. The summer camp started on June 14, 2021 and will end this Friday August 13, 2021. The Preschool program normally operates out of 2 classrooms. Both classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. LPA observed the cleanliness of floors and surfaces, the presence of working dual carbon monoxide/smoke detectors, fire alarms, and 2 fully charged 4A60BC fire extinguishers in both classrooms that is accessible. The bathrooms have age appropriate faucets and toilets in working condition. There is no yard for the children to play. Instead, there is a large play area inside the building which has room for structures and other equipment. There are no pools, hot tubs or other accessible bodies of water. Cleaning supplies/toxins are stored inaccessible to children. All required postings are present. The facility requires parents to provide children with their own food. LPA reviewed storage of medication and medical equipment/supplies and is inaccessible to the children. Per Owner, there are no firearms present on the premises.

A copy of the facility personnel roster was obtained. LPA reviewed the file of 7 children enrolled in the program and 3 staff members files, who are fingerprint cleared, completion of Mandated Reporter training as well as proof of immunizations. Each child's file reviewed is complete and contains a medical assessment. The opener and closer is Venkata Karuna; records indicate that she has a current CPR/First Aid certificate that expires 03/20/2023 respectfully, and proof of education and/or experience was also present. The center has been closed since March 2020. Documented fire and earthquake drill log shows that the last drill was conducted on 02/10/2020.

SEE LIC809 C FOR CONTINUANCE

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Jabari Wilson	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: S4 LEARNINGS, INC. (DBA SAFARI KID)	FACILITY NUMBER: 013422006
	VISIT DATE: 08/11/2021

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LPA also discussed with the Owner that ALL assistants, volunteers, frequent visitors, over the age of 18, must be fingerprint cleared and associated prior to being in the presence of children in care. An immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Owner was reminded of the responsibility as a mandated reporter and the trainings must be done once every two years. LPA also encouraged the Owner to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded.

Individual Medical Services (IMS) policy was discussed. The Owner is reminded that when any changes to the IMS plan is made, an updated Plan for Providing IMS must be submitted to the Department.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA information line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care centers and the ADA website at: http://www.ada.gov/childqanda.htm.

For licensing updates, email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

Effective August 1, 2003 California Law requires Child Care licensees to report unusual incidents or injuries to children in care, to child’s parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail.

There are no deficiencies cited today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Owner Sonal Jagad.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Jabari Wilson	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

LIC809 (FAS) - (06/04)

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